MEDICARE: DR. MARSHALL WALKER REED MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	AFE17115	CA

General Provider Information

NPI Number	:	1992910715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARSHALL WALKER REED MD

Provider Business Mailing Address
First Line	:	1665 CLAY DR
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-6252
Country	:	US
Telephone Number	:	650-961-5885
Fax Number	:

Provider Business Practice Location Address
First Line	:	1665 CLAY DR
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-6252
Country	:	US
Telephone Number	:	650-961-5885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	06/14/2026

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